Aviata At Venice

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, review of the clinical record, review of the facility policies and procedures, and staff interviews the facility failed to develop and implement a program of meaningful activities to meet the needs of 6 of 16 residents in the memory care unit. The facility failed to implement meaningful individualized activities to meet the interest and wellbeing of 1 (Resident #58) of 1 resident in the memory unit sampled for individualized activities. The lack of an individualized activity program has the potential to cause social isolation, boredom, agitation, and frustration. The findings included: The facility policy, MC-200 Activity-Intensive Program effective date 11/30/14 (revised 3/19/19) documented, A structured activity intensive program shall be the focus of the memory care unit to minimize the confusion residents with dementia and related disorders experience as they attempt to cope with difficulties in short term memory, attention span, comprehension, learning, conceptualization, judgment,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, clinical record review and staff interviews, the facility failed to administer medications according to physician's orders for 2 (Residents #18 and #30) of 4 residents observed for medication administration. Three licensed nurses on the morning shift with 29 opportunities were observed. Two medication errors were observed resulting in a 6.9% error rate. The findings included: The facility policy Administering Medications (revised 4/19) documented, Medications are administered in a safe and timely manner and as prescribed.Medications are administered in accordance with prescriber orders including any required time frame. 1. On 10/3/23 at 8:31 a.m., Registered Nurse (RN) Staff C was observed administering eight different medications to Resident #18. RN Staff C said she was not able to administer Duloxetine 40 milligrams (mg) as ordered medications. She said the medication was not available and was not included in the emergency drug kit. Review of the clinical record revealed a physician's order dated 9/3/23 to administer Duloxetine HCL (Hydrochloride) 40…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of facility policy and procedures and staff interviews, the facility failed to ensure medications were appropriately labeled in 3 (Carts #1, #2, and #3) of 3 medications carts reviewed. Without an open date on the medication there was no way to know when it would expire. This had the potential for residents to receive medications that could create hazardous health consequences. The facility also failed to secure medication and treatment carts were secured when not in view of the licensed nurse. The findings included: The facility policy, Administering Medications (revised 4/19) documented, The expiration/beyond use date on the medication label is checked prior to administering. When opening a multi-dose container, the date opened is recorded on the container. 1. On 10/2/23 at 10:39 a.m., during an observation of medication cart identified by Licensed Practical Nurse (LPN) Staff F as cart #1 (rooms 204-208), the following was observed: One Novolog insulin flex pen without an open date…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and staff interview the facility failed to ensure they applied and removed an AFO (ankle-foot orthosis) device for 1 (Resident #66) of 1 out of 6 residents coded as having an AFO. The use of an AFO is to improve standing, transfers, and/or walking patterns by reducing, preventing, or limiting the movement of the lower leg and foot and by supporting weak muscles. The findings included: On 10/03/23 at 9:10 a.m., Resident #66 was observed sitting in her wheelchair in the doorway to her room. During the observation, Resident #66 was noted to be dragging her right foot and her right arm and her hand appeared to be contracted. Resident #66 stated she had a cerebral vascular accident (CVA) causing her weakness on the right side of her body. She said she used to have a right foot splint, but therapy took it away a long time ago and she didn't know why. Review of Resident #66's medical record revealed diagnoses included a medical history of Multiple Sclerosis (disorder marked by…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of the clinical record, review of facility policies and procedures, and staff interviews, the facility failed to provide the necessary care and services to maintain personal hygiene for 2 (Resident #19, and #68) of 3 residents reviewed for activities of daily living (ADLs). The findings included: The facility policy, N-1130 Bathing/Showering effective 11/30/2014 (revised 9/1/17) documented, Assistance with showering and bathing will be provided at least twice a week and as needed to cleanse and refresh the resident. The resident shall be asked on admission to establish a frequency schedule for bathing. 1. Review of the clinical record revealed Resident #19 had an admission date of 2/4/23 with diagnoses including Alzheimer's disease, paranoid schizophrenia, and major depressive disorder. The Quarterly Minimum Data Set (MDS) assessment (standardized assessment tool that measures health status in nursing home residents) with an assessment reference date of 8/16/23 documented Resident…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review the facility failed to provide care and services to prevent reduction in range of motion (ROM) for 1 (Resident #78) of 2 residents reviewed for limitation in ROM. The findings included: Review of the facility policy for Contracture Prevention revised 8/22/17 revealed the purpose is to prevent contracture of extremities for those residents who no longer have full use of their extremities. Each resident must be evaluated for the need of contracture prevention procedure on admission and readmission as needed. Review of the clinical record revealed Resident #78 was admitted to the facility on [DATE] with diagnoses including paralysis of right side due to cerebral vascular accident (CVA). The physician's orders dated 8/12/23 included an Occupational and Physical Therapy evaluation and treatment. The physician's History and Physical progress note dated 8/14/23 at 5:47 p.m., noted Resident #78 had a right hand contracture. Physical Therapy (PT) and Occupational…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and staff interviews the facility failed to ensure they maintained communication between the nursing facility and the dialysis center related to the ongoing assessment of dialysis resident before and after each dialysis treatment for 2 (Residents #7 and #24) of 2 residents receiving dialysis. The findings included: The facility policy titled, Coordination of Hemodialysis Services N-1359, with an effective date of 11/30/2014 and a revision date of 7/2/2019, stated residents that required an outside ESRD (End Stage Renal Disease) facility would have services coordinated by the facility. The Dialysis Communication form would be initiated by the facility and sent to the ESRD center. The nurse would collect and complete the information regarding the resident to send to the ESRD center and upon the resident's return to the facility, the nurse would review the Dialysis Communication form and the information sent by the ESRD center and complete the post dialysis information on the Dialysis…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to have documentation of alternatives attempted prior to use of side rails, review the risks and benefits of side rails, and obtain consent prior to the use of side rails for 1 (Resident #44) of 1 resident observed with side rails on the bed. The findings included: Review of the facility policy for Side Rail/Bed Rail dated 4/19/18 indicated the facility will attempt alternative interventions and document in the medical record, prior to the use of side rail/bed rail. 1. Prior to installation of a side rail/bed rail complete the side rail/bed rail evaluation to evaluate the resident for risk of entrapment. 2. Review the risks and benefits with residents. 3. Obtain consent from the resident. 4. Obtain physician order for side rail/bed rail. Review of Resident #44's Quarterly Minimum Data Set assessment dated [DATE] Section P for restraints, documented side rails used for 0 days. Review of the Order Summary Report that included physician orders…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on staff interviews and staff record reviews, the facility failed to ensure 3 Certified Nursing Assistants (CNA) (Staff A, H, and I) of 3 sampled records reviewed had a performance review completed at least once every 12 months. The facility failed to ensure staff had in-service education based on the outcome of the employee annual performance/competency evaluations. The findings included: On 10/3/23, a review of the facility's Employee Guidebook stated on page 25 and 26, all employees would have a performance evaluation completed upon hire, and on their yearly anniversary date or on their promotion date. On 10/3/23, a review of CNA Staff A's employee file revealed a hire date of 11/2/1992. There was no documentation Staff A had an employee performance/competency review in 2022 or 2023. The last performance/competency review in the employee record was dated 11/26/13. On 10/3/23, a review of CNA Staff H's employee file revealed a hire date of 4/11/1991. There was no documentation Staff H had an employee performance/competency review in 2022 or 2023. The last…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review, review of facility's policy and procedure, and staff interview the facility failed to ensure the baseline care plan was developed within 48 hours of admission for 1(Resident #283) of 3 newly admitted residents reviewed. The findings included: The facility policy, Plan of Care effective 11/30/14 (revised 9/25/17 documented, An individualized person-centered plan of care will be established by the interdisciplinary team (IDT) with the resident and/or representative(s) to the extent practicable and updated in accordance with state and federal regulatory requirements . Develop and implement an individualized plan of care within 48 hours of admission that includes, but not limited to, initial goals based on the admission orders, physician orders, dietary orders, therapy services, social services, PASARR recommendations if applicable, and other areas needed to provide effective care of the resident that meets professional standards of care to ensure that the resident's needs are met appropriately until the comprehensive plan of care is completed. Review of the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, and record review, the facility failed to ensure 1 (Resident #282) of 5 sampled residents was free of significant medication errors. Medications not given as ordered can have a significant impact on resident health and welfare. The findings included: 1. Review of the clinical record for Resident #282 revealed the resident was admitted to the facility on [DATE] with diagnoses including End Stage liver failure (cirrhosis of the liver) and Hepatic Encephalopathy (Damaged liver does not remove toxins from the blood). The physician's orders dated 7/21/23 included Lactulose 20 grams twice a day with meals. The Lactulose was scheduled for 9:00 a.m., and 9:00 p.m. Lactulose is a medication used to treat hepatic encephalopathy. It works by decreasing the amount of toxins in the blood, which is a common cause of hepatic encephalopathy. Lactulose helps trap ammonia in the colon and bind to it. This reduces the amount of ammonia that is absorbed into the bloodstream and helps improve symptoms of…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on staff interview, and record review, the facility failed to maintain clinical records that were complete and accurate for 1 (Residents #282) of 2 resident records reviewed. Incomplete or inaccurate clinical records could result in residents receiving improper care. The findings included: A review of the clinical record for Resident #282 revealed the resident was admitted to the facility with a diagnosis of End Stage liver failure (cirrhosis of the liver) and Hepatic Encephalopathy. A review of the July 2023 Medication Administration Record (MAR) revealed two medications were not given as ordered. A review of the physician's orders on admission to the facility indicated that on 7/21/2023 the resident was ordered Lactulose 20 gram twice a day with meals and Phosphorus (K-Phos) 250 mg twice a day with meals. A review of Resident #282's Medication Administration Record (MAR) revealed the resident did not receive the ordered Lactulose a total of eight (8) times that was documented that the medication was not available and four (4) times the nurse documented it was given. A review…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to refer for a Preadmission Screening and Resident Review Process (PASSR) Level II screening for 1 resident (#1) of 3 residents reviewed for mental illness. A PASRR Level II is required for individuals with mental disorders and intellectual disabilities to ensure proper placement in the nursing home and obtain additional services for the resident while in the nursing home. The findings included: Review of the facility Policy for PASRR dated 11/8/21: The center will assure all Serious Mentally Ill (SMI) and Intellectually Disabled (ID) residents receive appropriate pre-admission screenings according to Federal/State guidelines. The purpose is to ensure the residents with SMI or are ID receive the care and services they need in the most appropriate setting. Review of Resident #1's Preadmission Screening Inclusionary and Exclusionary Checklist dated 9/26/07 revealed diagnoses included Anoxic Brain Damage and Recurring Depression. Resident #1…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, and staff interview, the facility failed to maintain the kitchen in a clean and sanitary manner and in good repair by having openings into the ceiling with potential contamination of the food areas; uncleanable surfaces in food storage and preparation areas, and outdated food items. The findings included: 1. On 11/29/21 at 9:28 a.m., during the initial tour of the kitchen, the following was observed: The ceiling upon entry to the kitchen had a partially detached broken rusted vent with a three-inch-by-three-inch hole. Photographic evidence obtained The ceiling tiles in the main kitchen were stained with a brown substance in front of the stove and food prep areas. Photographic evidence obtained Several of the ceiling vents and support frames were heavily soiled with a black bio-growth. Photographic evidence obtained The pipe next to the plate warmer and steam table had a one-inch opening into the ceiling around the pipe. The plastic coating was peeling on the surface of a utility cart holding beverages. Photographic evidence obtained The inside frame of the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review, policy review, and staff interview, the facility failed to provide pharmacy services to ensure 3 (Resident #52, #24, and #37) of 7 residents medication administration records reviewed received medication in accordance with physician orders. The findings included: The facility's policy 7.0 Medication Shortages/Unavailable Medications with a revision date of 1/1/13 read, .Upon discovery that Facility has an inadequate supply of a medication to administer to a Resident, Facility staff should immediately initiate action to obtain the medication from Pharmacy . If the medication is not available in the Emergency Medication Supply, Facility staff should notify Pharmacy and arrange for an emergency delivery . Action may include . Use of an emergency (back-up) Third Party Pharmacy. If emergency delivery is unavailable, Facility nurse should contact the attending physician to obtain orders or directions . 1. Record review revealed Resident #52 had a physician's order, dated 11/17/21, for the antibiotic medication Cefazolin 1 gram to be given IV (intravenously) every…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review and staff interview, the facility failed to ensure medical records contained accurately documented information for the administration of medications for 6 (24, #37, #52, #48, #53, #86) of 7 residents medication administration records reviewed. The findings included: The facility's Policy N-853 Medication-Oral Administration Of (revised 9/22/17) indicated to, . Chart on Medication Administration Record (MAR) according immediately following when medication is given and before proceeding to the next resident . The facility's policy 7.0 Medication Shortages/Unavailable Medications with a revision date of 1/1/13 read, .Upon discovery that Facility has an inadequate supply of a medication to administer to a Resident, Facility staff should immediately initiate action to obtain the medication from Pharmacy . If the medication is not available in the Emergency Medication Supply, Facility staff should notify Pharmacy and arrange for an emergency delivery . Action may include . Use of an emergency (back-up) Third Party Pharmacy. If emergency delivery is unavailable,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on clinical record review and staff interview, the facility failed to ensure the MDS (Minimum data set) assessment accurately reflected falls and fractures for 1 (Resident #37) of 4 sampled residents with falls. Inaccurate MDS assessments can result in a resident not receiving appropriate health care. The findings included: Clinical Record review showed Resident #37 sustained a fall on 6/30/21 and was sent to the hospital for evaluation. The resident was diagnosed with a nasal fracture and subdural hematoma. Resident #37 returned to facility on 7/1/21, sustained a second fall on 7/2/21 and a new diagnosis of right knee fracture. The five-day Minimum Data Set (MDS) assessment with a reference date of 7/5/21, and the significant change in status MDS assessment, with a reference date of 7/15/21, failed to identify the fall with major injury. Under section J1800 of the MDS asking if the resident had any falls since admission/entry or reentry or the prior assessment, whichever is more recent, the facility coded No. Under number of falls since admission or prior assessment - Major…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to develop and implement an individualized, person-centered care plan for 1 (#24) of 4 residents reviewed for care planning. Failure to develop and implement a comprehensive care plan can lead to the resident's medical, physical, mental, and psychosocial needs not being met. The findings included: Review of Resident #24's clinical record revealed the resident was admitted to the facility on [DATE]. An admission comprehensive Minimum Data Set (MDS) with an assessment reference date (ARD) of 9/20/21 was completed and transmitted. Based on the assessment, care plan decisions were completed on 9/24/21 to proceed to care plan for areas of communication, risk for pressure ulcers, behaviors and psychotropic (drugs that affect a person's mental state) medication. The Registered Nurse (RN) MDS Coordinator certified and signed the care plans for Resident #24 were completed but the facility failed to develop a comprehensive and individualized care plan for…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation and staff interview the facility failed to ensure proper storage of medications in 1 (Nurses station #2) of 2 medication storage rooms. This has the potential for expired medications to be administered to residents. The findings included: On 11/30/21 at 11:30 a.m., observation of Medication room at Nurses station #2 with Licensed Practical Nurse (LPN) Staff M revealed: Three bottles of Pro Stat expired 9/3/2021. Photographic evidence obtained Four bottles of Magnesium Chloride best by 8/21. Photographic evidence obtained One bottle of Calcium + D3 expired 8/21. At the time of the observation, LPN Staff M confirmed the medications were expired. On 11/30/21 at approximately 11:40 a.m., in an interview, the Regional Director of Nursing confirmed the medications were expired and removed them from the medication room.

Based on record review, review of the facility's policy and procedure, staff and resident interview, the facility failed to administer the influenza vaccine as requested to 1 (Resident #56) of 6 sampled residents reviewed for immunization. The findings included: Review of facility policy titled Influenza Vaccine - Resident with a revision date of 8/17/2020 stated, Residents will be offered the influenza vaccine annually (between October 1st and March 31 st unless otherwise directed by the CDC) to encourage and promote the benefits associated with vaccinations against influenza, in accordance with the local health department and Centers for Disease Control Guidelines . Have the resident / resident representative sign the informed consent, indicating acceptance or declination. Obtain a physician's order. Administer the vaccine, and document on the Medication Administration Record (MAR) . On 11/29/21 at 11:18 a.m., in an interview Resident #56 said she has been asking for an influenza vaccine since her admission to the facility on 9/29/21. The resident said she's asked multiple nurses…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations and staff interviews the facility failed to maintain/store resident personal care items in a sanitary manner to prevent potential cross contamination for 9 (Residents #11, #39, #48, #77, #86, #91, #24, #37, and #52) of 20 sampled residents. In addition, the resident chairs in the Memory care unit were in disrepair. The findings included: 1. On 11/29/21 at 9:45 a.m., the shared bathroom of Resident #77 and #86 was observed to have unmarked, unidentified personal care items being stored in an unsanitary manner. An opened bottle of total bath wash and a bottle of mouthwash were stored on the sink. A tube of toothpaste and a toothbrush with the bristles facing down and against the wall were stored on the soap dish. Photographic evidence obtained The same observation was made on 11/30/21 at 10:10 a.m., and 12/1/21 at 9:51 a.m. The unmarked, unlabeled personal care items remained stored on the sink and the soap dish. On 12/01/21 at 10:15 a.m., Certified Nursing Assistant (CNA) Staff K verified the personal care items in the shared bathroom of Residents #77 and #86…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.